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2635 Fenton Street
A .,r City of Wheat Ridge Residential Roofing PERMIT - 201702216 PERMIT NO: 201702216 ISSUED: 06/20/2017 JOB ADDRESS: 2635 Fenton ST EXPIRES: 06/20/2018 JOB DESCRIPTION: RESIDENTIAL RE -ROOF W/ ROOF DECKING & DURATION STORM CLASS 4 ASPHALT SHINGLES - 19 SQ. *** CONTACTS *** OWNER (720)425-7360 BASSETT FORREST R GC (720)606-7663 Kennith Mendina 170176 Roof Doctor Corp *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,321.13 FEES Total Valuation 0.00 Use Tax 153.74 Y "' Permit Fee 172.60 ** TOTAL ** 326.34 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€T"s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge r Residential Roofing PERMIT - 201702216 PERMIT NO: 201702216 ISSUED: 06/20/2017 JOB ADDRESS: 2635 Fenton ST EXPIRES: 06/20/2018 JOB DESCRIPTION: RESIDENTIAL RE -ROOF W/ ROOF DECKING & DURATION STORM CLASS 4 ASPHALT SHINGLES - 19 SQ. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am legally authorized to include all entities named within this document as pames to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting o f a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable ,code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date "`=y REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Kimberly Cook C% From: no-reply@ci.wheatridge.co.us Sent: Monday, June 12, 2017 9:35 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. w /C For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 2635 Fenton St Wheatridge Co 80214 Forrest Bassett 7204257360 Field not completed. Yes WA,k\) ,2 20 0 7 0 CONTRACTOR INFORMATION Contractor Name The Roof Dr Contractor's License 170176 Number (for the City of Wheat Ridge) Contractor Phone 7206067663 Number Contractor Email Address Brittneymedina@myroofdr.com (permit pick-up instructions will be sent to this email) Retype Contractor Email Brittneymedina@myroofdr.com Address DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the Yes roof? Description of Roofing Duration Storm Class 4 Material Select Type of Material: Other (specify below) If "Other" is selected Comp Shingle above, describe here: How many squares of the 19 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 19 roofing material for this project z Provide additional detail House Pitch 4/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7321.13 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Kenneth Medina Email not displaying correctly? View it in your browser. 3 2. _ _ -_ Customer Insurance Provider, Addre '✓_` — ... Adjuster djusterM S ci6, i14/2 _ City, State Z p, ^t{ - Phone# ffl �KC 1Rep: o_ ls�t Claim# age,r9'Ca b2—P } atLoss Date: ......Z?� L 1 Emad c" < t © Lead Source rb 6921 N. Broadway, Deaver, CO 80221 cam Office: 720 -606 -ROOF (7663) www.myroofdr.com Fully Insured Licensed Policy #: PC226272 Limit: $2,000,000.00 Carrier PCIC 2. _ _ -_ Customer Insurance Provider, Addre '✓_` — ... Adjuster djusterM S ci6, i14/2 _ City, State Z p, ^t{ - Phone# ffl �KC 1Rep: o_ ls�t Claim# age,r9'Ca b2—P } atLoss Date: ......Z?� L 1 Emad c" < t © Lead Source rb WE PROPOSE To furnish material and tabor - complete in accordance with specifications below. Deductible: 4 ,I ()_C) o ,,y,Approximate Dollars Pending Insurance Supplements Approximate Date of Roof Completion: 1,..,.__,, Materials present of the roof. DAsphalt_layers OCedar Snake— layers 0Metai„__layers OFiat—layers OCancrete_ OCommercial__iayers ' fear off existing _ �i layers on House 'Tear off existing--?_ layers on Garage/Shed Re -deck using 7116" OSB *'Replace Water Damaged Decking at $_!�� per piece *stall Standard Ridge Shingles 0 Install High Profile Ridge Shingles �nstall install ❑ Install New Roofing Material Type: I)L_-T� C i(" olor � _ _ m Style: T w ,�A\ ll Permit fees and Taxes Included �aui off all trash including Magnetic Sweep of the Property,_Year Workmanship Warranty 1iC"-0 y ,tq4anufacturer Warranty -Tnstall Pipe Jack Flashing(s) ft. of Ridge Vent t k LF S" Gutter / Downspouts Color: �/ Turtle Vents, Color to match roof y�iiL/'t1 Additional Wrtrk to be done prf Install 901b Valleys �,\�,,,.n stall Ice and Water Shield per Code J mstali Drip Edge to all O Eaves n Rakes k"stait Synthetic Underiayment Options: Root Doctor Corp CUSTOMER IF SUBJECT TO INSURANCE ALLOWANCE AGREEMENT. if initialed, the fallowing addh7onal proviaims apply: Company IS hoof Doctor Cwp A. This agreement is valid only if customer has full replacement cast insurance coverage (less deductible) 8, Companies nies work will be completed with no coat to custorner's insurance deductible. Unfasu customer thooses upgrades or addf#anni "rk that Is ruff approved by custome°s insurer. Customer hereby asslgna all amounts due from the customer's insurers and morigageea for all work to Ramat Doctor Cap. . Customer vAll proyide all doocurnento and inhannation necessary (i) for subrrrission of clatma to customer's insurer, and (h) for payments to be "mile by customer's insurer and mortgagesil Customer authorizes Roof Doctor Corp and its approved affiliataa to discuss scope of work and pricing with cuatomer's insurers and adjusters. Customer appolme company as the ausfomar`$ power of attorney to Inspect and adjust the lass, and to collect and r000lw°ati ktsuranca payments related to any and ail oompany`s work. 0. AN direct costs, overhead and proid allowed by customer's Insurer, and any supplaments approved by cu ome r'a Insurer tot' additional work, options or ooat increases are to be paid to the cormpany. Company reserves the right to request and t*ceto additional payments from customers insurer date to material or lubcr storm nnrent, or if numurerA&ft andfor other information provided by ft customer's insurer ars kuxxtect. E. Company may cancel this agreement If company and customer's hmuter ere unable to agree on the scopa of work and prics,lair we* California under cusbama'"s l ppficsy. F. WO the C%Ott* mf "fire Roof DR, i Out InSwarco, Company give Soil rights to out GC The Roof C1R & our Insurance company, agsmto" 04LOUM managers to provide our GC fult rights to receive a tat and a Final ScopalAd}uartrr Report, we also under tine provision of our Poffcy, believe it to be prudent that you our Insurance company through our legal authority and the in our popsy Oak than you pay our GC The Roof DR Ifs and our rights to O&P Overhead & Profit. I have hired my GC to take care of all the facts of my claim and would appreciate you, my Insurance Compaq of Choice will "work" Directly with my GC of Choice. YWe understand the complex decisions that out 01C has to provide with Its Labor, materials, Trades, scheduling, supervision, of Multiple locator that require their hard work and +efforts to bring my tomo brick to Its original character prior to this stoma. Wei also know that the coordination of subicontrogtors, varjflcationa of back ground chocks, Liability Imruraruat, Wbiilkman Comp, ate.-. I/We agr the terms p4d conditions of this r merit, including all terms and conditions on the reverse side. 6 z6 1. s er Sig Date Customer Signature Date Sales Representative Signature Daia noon-Dodor em"8921 N aroadw"Y. Deni"". Co 80221 • office. 72"asAc"W (7663) . W+ rnyr0*WC am A i CITY OF WHEAT.RIDGE BttiIding4nspe_'cftn-1bivisj"bni (303) 234-5933 Inspection line (303) '� (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION N TICE Inspection Type: xrb / �5 4�FL Job Address: Permit Number: 702216 ❑ No one available for inspection: Time Re -Inspection required: Yes (No_ When corrections have been made, call for re -inspection at 303 -234 - Date: 7' it - I Inspector:` / . - DO NOT REMOVE THIS NOTICE f' ' • 931686 TOTAL 76.80 *ccupancy Is Not Permitted Until ♦ Certificate of Occupa •' Protect This Card From The Weather CITY OF VNEAT RTHE 3131/12 1:46 PN edba 77 t jusseauge RgtIpT NO-CDA607945 B)SP b1stail llom ho AMOUNT 76.89 6nspactor Initials 28121 Pt Fee 46.00 Use. Tax., 310.86 PAYMENT RECEIVED WONT . mw VS 131 6.8 931686 TOTAL 76.80 *ccupancy Is Not Permitted Until ♦ Certificate of Occupa •' Protect This Card From The Weather °© 12:19 From:WPLUMBING 3037832072 To:3032378929 P.3/3 Property Address. : } ^ h PMtWly address) rfXr DrPARtMCNr a «. w/ C) CR$3pprOVO(j � I no review roqijircd; 92� Credit Card Paymetit: Use credit card listed on file. Date: .1 Print name: Signature* Facsimile Building Permit Application